Jack Michael Keesler, DDS, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

1001385-15 Issued in WI

Practice address

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Phone

(414) 288-5485

NPI assigned

Apr 20, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1033563606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 WORTH AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332186",
            "telephone_number": "414-288-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1571 Worth Ave",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549565042",
            "country_code": "US",
            "telephone_number": "920-267-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLER",
        "first_name": "JACK",
        "middle_name": "MICHAEL",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "1001385-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Michael Paulsen Keener
• Keep Your Crown
• Jacob Finer Keepers, PA
• Keeping It Moving Transportation
• Hailey Elizabeth Keeser, PHARMD
• Ashley Bossenberger Kegel, PT, DPT
• M. Karen Kegelmeyer, MS, LPCC AND LPC
• Cormac Kehoe, RPH
• Trevor Kehring, PHARMD
• Danica Amber Keisling, PA

• Prosthodontics in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.